How Sesame Care's marketplace model works
Sesame lets patients compare independent clinicians and cash prices for individual visits, then offers recurring programs for weight management and menopause. The $59 monthly program rate buys ongoing care under the stated plan terms, not medication. Prescriptions, pharmacy charges, and possible insurance benefits remain separate financial layers.
Patients can choose a provider and, when a prescription is appropriate, route it to a preferred local or supported online pharmacy. Current pages document FDA-approved semaglutide brands, estradiol options, generic finasteride, generic tadalafil, and topical tretinoin. Sesame specifically says compounded semaglutide is not currently available.
Marketplace flexibility also creates uneven continuity, fulfillment timing, and total cost because those details depend on the selected clinician and pharmacy. Refund windows differ by service, and completed visits or current subscription periods are generally not prorated. Controlled substances cannot be prescribed online, and no standardized NAD+ program was verified.
- The weight-management subscription starts at a $59 monthly equivalent on an annual plan, with medication separate.
- Sesame currently documents FDA-approved semaglutide brands and says compounded semaglutide is unavailable.
- Patients can choose their clinician and pharmacy route, so price and continuity vary by selection.

